| Citation: |
YU Dan, LIU Ming, FANG Xiaoming, SHI Caiwen. Effect of feedback respiratory electrical stimulation training on rehabilitation of patients with moderate to severe stable chronic obstructive pulmonary disease[J]. Journal of Clinical Medicine in Practice, 2022, 26(21): 8-13. DOI: 10.7619/jcmp.20222415
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To explore the effect of feedback respiratory electrical stimulation training (RESTB) on respiratory rehabilitation of patients with moderate and severe chronic obstructive pulmonary disease (COPD).
A total of 120 patients with moderate and severe stable COPD were selected as study objects, and were divided into control group (n=60) and observation group (n=60). The control group received conventional treatment such as oxygen inhalation and bronchodilator, and the observation group received RESTB on the basis of conventional treatment, the treatment of both groups was lasted for 12 weeks. The pulmonary function indexes[forced expiratory volume in the first second (FEV1), forced vital capacity (FVC), FEV1/FVC], respiratory muscle function indexes[maximum inspiratory pressure (MIP), maximum expiratory pressure (MEP)], tranquildiaphragmatic activity(QDM), diaphragmatic activity in forced breathing (FDM), diaphragm thickness score (DTF), Dyspnea Scale (MRC) score, quality of life[St. George's Respiratory Questionnaire (SGRQ) score], exercise endurance[6 min walking distance (6MWD)], sleep quality[Pittsburgh Sleep Quality Index Scale (PSQI) score] and psychological status[Hamilton Anxiety Scale (HAMA) score, Hamilton Depression Scale (HAMD) score] were compared before and after intervention.
Before and after intervention, there were no significant differences in FVC, FEV1 and FEV1/FVC between two groups (P>0.05). After intervention, MIP, MEP, QDM, FDM and DTF in the observation group were higher than before intervention, and were higher than those of the control group (P < 0.05). After intervention, MRC score and SGRQ score of the observation group were lower than before intervention, and were lower than those of the control group (P < 0.05). After intervention, 6MWD in the observation group was longer than that before intervention and the control group (P < 0.05). After intervention, PSQI score, HAMA score and HAMD score of the two groups were lower than before treatment, and were lower in the observation group than those in the control group (P < 0.05).
RESTB can improve respiratory muscle function, exercise endurance and sleep quality, improve psychological condition and quality of life of patients with moderate and severe COPD.
| [1] |
WANG C, XU J, YANG L, et al. Prevalence and risk factors of chronic obstructive pulmonary disease in China (the China Pulmonary Health[CPH]study): a national cross-sectional study[J]. Lancet, 2018, 391(10131): 1706-1717.
|
| [2] |
陈亚红. 2020年GOLD慢性阻塞性肺疾病诊断、治疗及预防全球策略解读[J]. 中国医学前沿杂志: 电子版, 2019, 11(12): 32-50. https://www.cnki.com.cn/Article/CJFDTOTAL-YXQY201912010.htm
|
| [3] |
慢性阻塞性肺疾病急性加重(AECOPD)诊治专家组. 慢性阻塞性肺疾病急性加重(AECOPD)诊治中国专家共识(2017年更新版)[J]. 国际呼吸杂志, 2017, 37(14): 1041-1057. doi: 10.3760/cma.j.issn.1673-436X.2017.14.001
|
| [4] |
CHARUSUSIN N, GOSSELINK R, DECRAMER M, et al. Randomised controlled trial of adjunctive inspiratory muscle training for patients with COPD[J]. Thorax, 2018, 73(10): 942-950. doi: 10.1136/thoraxjnl-2017-211417
|
| [5] |
BEAUMONT M, FORGET P, COUTURAUD F, et al. Effects of inspiratory muscle training in COPD patients: a systematic review and meta-analysis[J]. ClinRespir J, 2018, 12(7): 2178-2188.
|
| [6] |
沈惠英, 朱新秀, 陈琪, 等. 不同检查方法评估COPD患者膈肌运动状态的比较[J]. 中国临床医学影像杂志, 2019, 30(10): 698-702. https://www.cnki.com.cn/Article/CJFDTOTAL-LYYX201910006.htm
|
| [7] |
MANCOPES R, PELADEAU-PIGEON M, BARRETT E, et al. Quantitative videofluoroscopic analysis of swallowing physiology and function in individuals with chronic obstructive pulmonary disease[J]. J Speech Lang Hear Res, 2020, 63(11): 3643-3658. doi: 10.1044/2020_JSLHR-20-00154
|
| [8] |
KO F W, TAM W, SIU E H S, et al. Effect of short-course exercise training on the frequency of exacerbations and physical activity in patients with COPD: a randomized controlled trial[J]. Respirology, 2021, 26(1): 72-79. doi: 10.1111/resp.13872
|
| [9] |
RITTAYAMAI N, CHUAYCHOO B, TSCHEIKUNA J, et al. Ultrasound evaluation of diaphragm force reserve in patients with chronic obstructive pulmonary disease[J]. Ann Am ThoracSoc, 2020, 17(10): 1222-1230. doi: 10.1513/AnnalsATS.202002-129OC
|
| [10] |
KALINOV R I, MARINOV B I, STOYANOVA D I, et al. Desaturation during physical exercise in COPD patients-a stable-over-time phenomenon[J]. Folia Med: Plovdiv, 2019, 61(2): 204-212.
|
| [11] |
KRACHUNOV I, KYUCHUKOV N, IVANOVA Z, et al. Stability of frequent exacerbator phenotype in patients with chronic obstructive pulmonary disease[J]. Folia Med: Plovdiv, 2018, 60(4): 536-545.
|
| [12] |
TUTAR N, ARSLANTAŞF, BARAN KETENCIOĜLU B, et al. A prospective observational evaluation of treatment outcomes of patients with chronic obstructive pulmonary disease and peripheral blood eosinophilia[J]. TuberkToraks, 2021, 69(4): 477-485.
|
| [13] |
BHATT S P, LUQMAN-ARAFATH T K, GUPTA A K, et al. Volitional pursed Lips breathing in patients with stable chronic obstructive pulmonary disease improves exercise capacity[J]. ChronRespir Dis, 2013, 10(1): 5-10.
|
| [14] |
ZAREIFOPOULOS N, BELLOU A, SPIROPOULOU A, et al. Prevalence, contribution to disease burden and management of comorbid depression and anxiety in chronic obstructive pulmonary disease: a narrative review[J]. COPD J Chronic ObstrPulm Dis, 2019, 16(5/6): 406-417.
|
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